Individual
TANISHA ESANNASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 VALLEY RD STE 2636, CLIFTON, NJ 07013-1319
(908) 845-3506
Mailing address
PO BOX 200272, NEWARK, NJ 07102-0305
(908) 845-3506
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FA00026400
NJ
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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